Community Health Nursing Exam Preparation Guide
Course Introduction
Community Health Nursing is a course designed to prepare nursing students to promote, maintain, and restore the health of individuals, families, and groups within a community setting. The course emphasizes a holistic approach that considers social, cultural, economic, and environmental factors affecting health. Students will engage with topics such as health education, disease prevention, epidemiology, and the development of community-based interventions. Through theoretical learning and practical experiences, students gain the skills necessary to assess community health needs, advocate for vulnerable populations, and collaborate with multidisciplinary teams to enhance the overall health and well-being of communities.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 3rd Canadian Edition by Margaret Burkhardt
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19 Chapters
317 Verified Questions
317 Flashcards
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Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following is an example of social need as an ethical foundation for nursing?
A)Nurses must determine the health and social needs of society.
B)Nursing finds its origin, purpose, and meaning within the context of perceived social need.
C)Theories of social need in sociology are utilized by nursing scholars, many of whom view them as conceptual frameworks for nursing practice.
D)Social need determines the boundaries of the ethical principles of distributive justice, beneficence, and non-maleficence.
Answer: B
Q2) For which of the following is empathy a motive?
A)meeting the needs of others
B)moral reasoning and action
C)becoming a nurse
D)determining right from wrong
Answer: B
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3
Chapter 2: Ethical Theory
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which moral perspective propounds the belief that people can figure out absolute moral rules which derive from the universe and that these truths are superior to the information received from the senses?
A)moral belief
B)rationalism
C)deontology
D)naturalism
Answer: B
Q2) What is the Kantian maxim requiring that one treat others always as ends and never as a means?
A)the categorical imperative
B)the practical imperative
C)deontology
D)utilitarianism
Answer: B
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Chapter 3: Ethical Principles
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What does the CNA Code of Ethics recognize about confidentiality?
A)It develops from respect for patients and is an absolute requirement in all situations.
B)It is restricted to legal regulations and definitions.
C)It is not absolute and may be modified to protect the patient or other innocent people.
D)It enables preservation of dignity for patients in intimate and private situations.
Answer: C
Q2) A nurse respects a patient's decision not to undergo chemotherapy. Which principle is this situation an example of?
A)respect for persons
B)justice
C)beneficence
D)autonomy
Answer: D
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Chapter 4: Values Clarification
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) In what way can keeping a journal or diary of experiences in work situations be a useful tool for a nurse?
A)to develop awareness and gain insight into personal values
B)to identify negative actions and interpretations that need to be reinforced
C)to identify challenging situations and apply alternative responses
D)to develop and monitor professional reactions in situations
Q2) How can values best be defined?
A)as principles of right or wrong
B)as ideals, beliefs, customs, and modes of conduct
C)as self-knowledge and the willingness to express that awareness
D)as reflections upon and evaluations of one's own experiences
Q3) A nurse was not happy with the outcome of a moral dilemma she witnessed, and worries constantly about the consequences for the patient. What may the nurse be experiencing?
A)moral awareness
B)moral thought
C)moral distress
D)moral values
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Chapter 5: Values Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Whose frameworks do the discussions of moral development found in current literature primarily flow from?
A)Kohlberg and Gilligan
B)Piaget and Fowler
C)Thomas
D)Colby and Kohlberg
Q2) According to Kohlberg and Gilligan, which of the following is the final stage in an adult's values development?
A)universal consideration
B)renewed perspective
C)perceived authority
D)general consensus
Q3) What is the term for the moral imperative being grounded in relationship with and responsibility for one another?
A)ethic of justice
B)ethic of care
C)faith development
D)cognitive development
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Chapter 6: Ethical Decision Making
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A couple is pregnant with their second child and, during a routine ultrasound, the physician discovers that the fetus is anencephalic. The life expectancy of an anencephalic baby is only a few weeks after birth. The couple struggle with the choice of whether to terminate the pregnancy now or to carry to term. The couple decide to terminate the pregnancy. What stage of the ethical decision-making process is this?
A)determining desired outcomes
B)evaluating outcomes of action
C)identifying options
D)acting on the choice
Q2) During which step of the ethical decision-making process is it appropriate to determine the key participants?
A)data gathering
B)problem articulation
C)strategy exploration
D)strategy implementation
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Chapter 7: Legal Issues
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which of the following legal terms applies to speaking harmful and defamatory words?
A)slander
B)libel
C)false imprisonment
D)gossiping
Q2) What is the term for a wrong or injury that a person suffers because of someone else's action, either intentional or unintentional?
A)negligence
B)tort
C)private law
D)breach
Q3) Which law deals with the rights and obligations between two or more people who make agreements that can be enforced by law?
A)tort law
B)public law
C)contract law
D)private law
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Chapter 8: Professional Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which statement best reflects the professional attribute of autonomy for nurses?
A)an examination for licensure is done following the meeting of nursing educational requirements
B)the title of "Registered Nurse" and "Nurse" is protected
C)the establishment of a unique body of knowledge and research for nursing
D)the nurse alone is responsible and answerable for their actions
Q2) What term best describes the knowledge necessary to provide a service that is either essential or desired by society?
A)professional education
B)professional recognition
C)professional autonomy
D)professional responsibility
Q3) What is one of the benefits of nurses contributing to the growing body of unique nursing knowledge and research?
A)It empowers nurses.
B)It ensures that members conduct ongoing competency reviews.
C)It permits autonomy in nursing affairs.
D)It aids in validating nursing as a true profession.
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Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) "Hello, my name is Dan Lee. I am a third-year nursing student who is part of the interprofessional team that will be caring for you during your hospitalization. I would like to hear about what brought you into the hospital." According to the ICN Code of Ethics for Nurses (2000), what is this an example of?
A)professional values
B)personal values
C)an appeal to conscience
D)a fiduciary relationship
Q2) Which of the following individuals is the nurse's primary obligation to?
A)the patient
B)the employer
C)the physician
D)the profession
Q3) What are low rates of job satisfaction, poor self-esteem, and low retention rates for new nurses related to?
A)troubling staff mix ratios
B)horizontal violence in the workplace
C)poor conflict resolution and problem-solving skills
D)younger nurses entering the field with limited clinical experience
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Page 11
Chapter 10: Practice Issues Related to End Of Life Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?
A)medical futility
B)advance directives
C)technological dilemma
D)palliative care
Q2) What is the term for instructions designating someone to act as a surrogate in a very specific context if one loses decision-making capacity?
A)guardian ad litem
B)advance directives
C)self-determination
D)do not resuscitate
Q3) Since a prime nursing focus is to relieve suffering, what must nurses understand about health care technologies?
A)They are good because they always support a patient's health and well-being.
B)They may cause conflict between doing good and avoiding harm to patients.
C)They are necessary interventions even if they cause patients to suffer.
D)They may cause nurses to do harmful things to patients against their wishes.
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12
Chapter 11: Practice Issues Related to Patient
Self-Determination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A nurse encourages a patient to take narcotics for severe cancer pain. The patient is concerned about the possible side effects. The nurse gives the patient the narcotic and tells the patient; "It's for your own good and it's important to get your pain under control." What is the nurse's behaviour an example of?
A)paternalism
B)justice
C)autonomy
D)competence
Q2) As the nurse is completing the pre-operative checklist, Mrs. Jones asks whether she will be awake during her surgery. What is the next step for this nurse?
A)Answer Mrs. Jones's question to reassure her prior to her surgery.
B)Put a note on the chart for this to be reviewed with Mrs. Jones by the Anesthetist in the Operating Room.
C)Contact the surgeon, as Mrs. Jones does not have a clear understanding and therefore has not given informed consent.
D)Document Mrs. Jones's questions in the chart and note that the nurse provided the answers.
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Page 13
Chapter 12: Scholarship Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which document includes statements that object to the phenomenon of researchers who "parachute" into developing countries to conduct research, then abandon the research participants after the research is completed?
A)World Humanities Research
B)CNA Code of Ethics
C)Nuremberg Code
D)Declaration of Helsinki
Q2) What is the term for recruiting participants for a study by offering them a sizeable amount of money, travel expense allowances, and reimbursement of medical fees?
A)full disclosure
B)coercion
C)right to fair treatment
D)compensation
Q3) Which of the following would be an example of plagiarism?
A)paraphrasing of the work of another and providing credit to that person
B)submitting your original work without citations
C)citing the work of another and using referencing
D)"cutting and pasting" sections from a previous paper you wrote into a current paper
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Chapter 13: The Future of Canadian Health Care: Challenges and Priorities
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Large immigrant populations may live in overcrowded situations and, in some cases, may be unable to access health care. In addition to financial constraints, what is another issue that immigrant populations might face regarding access to health care?
A)burdening the health care system with longer wait times
B)language and cultural barriers to health care
C)burdening primary health care, and spending more on prescription drugs
D)lack of health care providers and facilities
Q2) Which of the following contribute to the challenge of providing health care for populations across the globe?
A)infant mortality and globalization
B)ecology and traditional healing systems
C)war and national crises
D)relationships and curative measures
Q3) What health care changes evolved in the latter part of the nineteenth century in Canada?
A)public health
B)interprofessional care
C)immigrant health
D)curative programs
Page 15
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Chapter 14: Health Policy Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the term for issues that are created, affected, or regulated by any of the government branches?
A)political issues
B)partisan issues
C)health policy issues
D)regulatory issues
Q2) What is the term for pieces of legislation that have been enacted by legislative bodies and approved by the government?
A)allocative policies
B)regulations
C)judicial decisions
D)statutes
Q3) Which phase of the health policy process occurs when studying the consequences of existing policies indicates that the original problem still exists?
A)policy implementation
B)policy modification
C)policy formulation
D)policy circumstances
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Chapter 15: Economic Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) According to the Romanow Commission Report, which of the following is a challenge to the health care system?
A)guaranteed reasonable access to care
B)resources not being used optimally
C)decisions being made by physicians
D)considerations of how rationing should occur
Q2) Which of the following health care financing systems would be described this way: "A health care system willing to be held accountable both clinically and financially for the health outcomes of an enrolled population for a capitated (fixed) payment."
A)fee for service
B)universal health care
C)categorical financing
D)managed care
Q3) What is a natural consequence of utilitarian forms of health care financing?
A)Resources and services will be distributed equally.
B)Some people will not receive resources and services.
C)The people with the greatest need will receive the bulk of resources and services.
D)People who have greater personal resources will receive greater benefit.
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Chapter 16: Social Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following health-related issues should nursing care and policy address?
A)social exclusion
B)financial resources
C)intimate-partner violence
D)higher mortality rates
Q2) Which issue has the greatest effect on the health and health care options of the growing elder population?
A)prescription costs
B)economic hardship
C)inadequate respect
D)discrimination
Q3) Which ethical principle is being disregarded when preference for health care is given to those who are not homeless?
A)non-maleficence
B)justice
C)beneficence
D)autonomy
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Chapter 17: Issues of Gender and Culture
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A nurse's Indigenous patient tells her that his health problem was caused by the Manitou and that he needs some blue beads for protection and healing. What does cultural sensitivity direct the nurse to do?
A)caringly inform the patient that the Manitou is an old belief and is not real
B)make a mental health referral to a local Aboriginal therapist
C)listen respectfully to the patient's story and go on with the treatment
D)explore more about the blue beads and try to get some for the patient
Q2) According to recent statistics, on average, what does a woman get paid compared to a man in a similar position?
A)80 percent as much
B)70 percent as much
C)60 percent as much
D)50 percent as much
Q3) When are transcultural issues and conflicts more likely to arise?
A)when nurses are aware of their own biases and judgments of others
B)when nurses judge other people's behaviour by their own cultural values
C)when nurses understand their own cultural beliefs and values
D)when nurses avoid judging others based on preconceived ideas
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Chapter 18: Rural, Remote, and Indigenous Nursing in Canada
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Sample Questions
Q1) What is a professional practice challenge for nurses working in rural areas?
A)continuous nursing education workshops
B)overlapping personal and professional roles
C)documentation
D)maintaining practice standards
Q2) Who typically employs the nurses who provide care on First Nations reserves in most provinces in Canada?
A)Health Canada
B)First Nations band council
C)Indigenous community
D)Aboriginal Nurses Association of Canada
Q3) Which of the following individuals would self-identify as being a part of at least one Indigenous group?
A)Amish
B)Acadian
C)Québécois
D)Inuit
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Page 20
Chapter 19: Empowerment for Nurses
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Sample Questions
Q1) What should be thoroughly explored before engaging in whistle-blowing by nurses?
A)how many nurses agree and will stand by the issue
B)how long the problem has been going on
C)if speaking out is likely to effect change
D)which leaders can be counted on for support
Q2) A patient tells you that the more he exercises and the healthier he eats, the healthier he gets. What is he demonstrating?
A)internal locus of control
B)external locus of control
C)negative locus of control
D)positive locus of control
Q3) Which of the following factors influences professional empowerment in nursing?
A)professional disobedience
B)support of professional colleagues
C)faith that the right thing is done
D)abdicating responsibility for decision making
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